Creating a Family Crisis Management Plan (FCMP)

Creating a Family Crisis
Management Plan
(FCMP)
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One of the most disruptive events that affects the family is when one member (often the child or family member
with a disability) goes into crisis. Because the family functions as a unit, the crisis can quickly snowball into an
incident where other members become engaged in the crisis, and one family member (often the child with the
disability) is removed from the home – he or she goes to jail, the hospital or into out of home placement.
Individual family members can become triggered, by either external (school, friends, outside stress) or internal
(feelings of sadness, anxiety) factors. If mom, dad and the kids aren’t communicating, this has the potential to
snowball throughout the family. If mom is overstressed from the care giving role, if Mary is being bullied at
school, or if Dad and Mary are fighting about Mary’s grades, these can set the stage for a family crisis. Being
aware of the things that trigger us and our children and other family members, identifying ways to deal with
these triggers and making sure we have things in place in our family life to help us stay healthy on a day to day
basis can help avoid, or at least lessen the effect of a family crisis.
In the field of addiction relapse prevention, the pioneering work of Marlett and Gordon, Gorski and Daley
discovered relapse prevention techniques that can help people in many areas of life other than addictions. They
described the concepts of triggers, early warning signs, distraction and substitution as tools for relapse
prevention. Since then, their work has found wide applications to various settings by both professionals and
consumers in self help formats. For families, these ideas have been applied at several VO sites, for example
Colorado and New Mexico. These concepts are used throughout the family crisis management plan.
Components of the Family Crisis Management Plan
The family crisis plan essentially has three components: Recognition, Prevention, and Intervention. The
specific activities associated with these three components are:
1. Describe your own personal triggers, and things that trigger other family members. (Recognition)
2. Recognize early warning signs that signal when your family may be approaching a crisis (Recognition)
3. Identify appropriate wellness responses to possibly avert a crisis (Prevention).
4. Develop an action plan to deal with triggers before they happen. (Prevention)
5. Develop an action plan that will keep family members safe if a situation does escalate into a crisis.
(Intervention)
6. Create a plan that lists actions you can take to keep your family well (Prevention).
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Family Crisis Management Plan - Worksheet
Family Wellness
1.
What does my family look like when we are well (How do we act? How do we talk to each other?
How do we feel)?
2.
What are some of the things that help me and my family maintain a state of well being?
3.
What does each family member look like when they are well?
4.
What does each family member do to keep that state of well being?
Plan for well being
1. The vision I have for my family is:
2. Make a list of things I and my family can do to move toward our vision.
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Recognition of Triggers
1. Describe external triggers that can trigger me or my child to go into crisis. (For example, “When Mary
has a bad day at school, she gets angry at her brother and me and starts yelling. I respond by getting
angry and this can escalate into a crisis.”)
What are some steps I can take to keep external triggers from escalating into a crisis?
What are some steps my children can take to keep external triggers from escalating into a crisis?
2. Describe internal triggers (thoughts, feelings) that can cause me or my child to go into crisis. (For
example, “Sometimes, Mary gets anxious and panicky for what seems like no reason at all. When she is
like this, she gets out of control.”)
What are some steps I can take to keep internal triggers from escalating into a crisis?
What are some steps my children can take to keep internal triggers from escalating into a crisis?
3. Describe interpersonal triggers that may cause me or my family members to go into crisis (For example,
“When Johnny refuses to do what I ask him, I get so mad because I think he is just being oppositional. I
get mad, and he never does end up doing what I ask. It escalates into a fight.”)
What are some steps I can take to keep interpersonal triggers from escalating into a crisis?
What are some steps my children can take to keep interpersonal triggers from escalating into a crisis?
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Recognition of Early Warning Signs
1. What actions are early warning signs that a situation may escalate into a crisis?
2. What feelings are early warning signs that a situation may escalate into a crisis?
3. What behaviors are early warning signs that a situation may escalate into a crisis?
4. What comments or statements are early warning signs that a situation may escalate into a crisis?
What are the things I can do to help avoid a crisis?
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Intervention
If I know a crisis can’t be avoided, what are the first things I have to do to keep me and my family safe
(including the child who is in crisis)?
Instructions: Think through each step and list it in order of occurrence. For example:
1. What will I do with younger children?
2. Where will I go?
3. Who do I need to contact? (list phone numbers of important people in a crisis: )
4. What information do I need to have close by? (For example: list of child’s medications, child’s doctor,
allergies, prescriptions and dosages of medications, other health problems that professionals need to
know about).
5. What has worked well in the past to soothe or calm my child?
6. What has NOT worked well in the past to calm my child?
7. What do I need to do to take care of myself after the crisis?
a. Who to call
b. Activities to do
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Example Only
Family Crisis Plan
Family Member
Task
Phone Number
Mom
Call doctor
719-555-5555
Sister/Brother
Take younger kids to
neighbor
719-555-3333
Sister/Brother
Call Dad
719-555-6666
Mom
Handles child/youth in
crisis
Dad
Mom
Comes home from work
and takes care of siblings
(Example: takes them for
ice cream)
Calls Aunt Jenny after
the crisis is over for
support
719-555-8787
Using the above example as a guide, create your own Family Crisis Plan on the next page.
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Family Crisis Plan
Family Member
Task
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Phone Number
Prevention
List things I can do to keep my family well.
List things I can do to keep my self well.
Final Words
If, despite your best efforts, the crisis explodes, be calm and act rationally. Try not to personalize the issue. Be
aware of the following guidelines:
•
•
•
•
Don’t threaten your child. This may cause him or her to become more excited or afraid.
Don’t shout. Loud voices add to the sense of chaos. Continue speaking, but do so in a normal tone of
voice.
Don’t dare your child to act on what she is threatening to do. This will only engage her in a power
struggle.
Don’t block the doorway, but don’t let your child leave.
Be prepared to call the authorities. A child who runs away from home puts him/herself in danger. A child who
is threatening suicide or threatening to hurt someone else is also in danger. You want him/her safe, even if legal
consequences result.
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